ZACHARIAH CLARK M.D.
NPI 1770977258
Family Medicine in Tacoma, WA

Q: What is Zachariah Clark's NPI number?

The NPI number for Zachariah Clark is 1770977258. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Q: What is Zachariah Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Zachariah Clark was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2015PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-5871 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Zachariah Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARIAH CLARK M.D. (NPI 1770977258) is an individual family medicine provider in Tacoma, Washington, licensed in Nebraska (29568) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770977258

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameZACHARIAH CLARKCredential: M.D.

Location Address9040 JACKSON AVETacoma, WA 98431-1000

Mailing Address9040 Jackson AveTacoma, WA 98431-1000 · (253) 968-5871

Phone(253) 968-5871

Sole ProprietorNo

Enumeration DateMarch 24, 2015

Last NPPES UpdateNovember 23, 2016

✔ NPI 1770977258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 29568

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9040 JACKSON AVE, Tacoma, WA 98431

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Other Identifiers 1

Medicaid29568NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachariah Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Zachariah Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System

4.9 mi

Physical Therapist

9514 GRAVELLY LAKE DR SW
Lakewood, WA 98499

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1790298081 (253) 983-9395

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered